2004-865 Ladies Workout Express TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040865 Application Number: A20040865 .
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: 0TTF,F,NSBITRV 01TAKF,R_ T,.1X.
For property located at: 118 QUAKER Rd _
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and.the Queensbury Zoning
Ordinance. Type of Constriction Value
Ow'ner Address: QUEENSBURY QUAKER, L.L.C.
90 STATE St Suite 1411 Sign
Total Value
ALBANY, NY 12207-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
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Plans&Specifications
2004-865 LADIES.WORKOUT EXPRESS, Quaker Plaza, Unit 2
change of business location in the Town of Queensbury:
(36 sq. ft. wall sign). This permit is a change of copy only.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If"a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of Q ensb d , November 08, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code En orcement
RECEIVED
OCT 2 6 :2004
y r Fee Paid: K0
'TOWN OF a�i-,EENSBURY �v �
742 Bay Road, Queensbury, NY 1280,4 f� APproved By:
(518) 761-8256 OCT 2 9 Z004Permit
SIGN PERHIT APPLICATION, ;_. "_�`.Y
THE FOLLOWING INFORMATION IS REQUIRED.
1. Detailed drawing or photo of sign. _ *� � -
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land. -
OWNER OF PROPERTY Cvope -f-a LL ova
/DDRESS C/� �D � �C2 �iGi �� I �'1r-f t '� 1ltlu7'TEL. �- (v - I�99
NAME OF APPLICANT ff
ADDRESS r �� ��u-- TEL.
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BUSINESS NAME IF DIFFERENT: fj
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign —_
Temporary Non-conforming Existing —_
Free-Standing Wf_n___) � New _—
Location: Tax Map Number
Address _ �� � �( �� „j �L� Miu
Proposed Setbacks from Property Line (front) — (side) —
If sign is to be illuminated, please check appropriate box:
Internal (il)'External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage: _
Sign Cop L_")'LS
Color and Mate 1 To Be U d:
Signature: J
Circle One: Applican , owner• contractor or agent.
I HEREBY AUTHORIZE APPLICANT SIGN ON MY PROPERTY OR BUILDING.
ignature of Property Owner:
ORIGINAL-Office Copy COPY-A plicant
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PROPOSED\RETAI
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